| NPI | 1982982955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OH 58.004397) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.012582) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2023-07-11 |